PNF and Movement

  • 제13권4호
  • /
  • Pages.175-180
  • /
  • 2015
  • /
  • 2508-6227(pISSN)
  • /
  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
권호 표지
DOI QR코드

DOI QR Code

거울신경세포시스템에 근간한 동작관찰-신체훈련이 만성 뇌졸중 환자의 상지기능과 일상생활활동에 미치는 영향

Effects of Action Observational Physical Training Based on Mirror Neuron System on Upper Extremity function and Activities of Daily Living of Chronic Stroke Patients

  • 고효은 (동신대학교 작업치료학과)
  • Ko, Hyo-Eun (Department of Occupational Therapy, Dong-shin University)
  • 투고 : 2015.11.28
  • 심사 : 2015.12.13
  • 발행 : 2015.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study aimed to examine the effects of mirror-neuron-system-based action observation physical training on improvements in upper extremity functions and daily living activities in chronic stroke patients. Methods: Ten chronic stroke patients were randomly selected. As a therapeutic intervention, along with conventional occupational therapy, the patients engaged in action observation physical training through repeated imitation practices after they viewed a video. The therapeutic intervention was implemented for 20 minutes, three times each week for eight weeks. A Manual Function Test (MFT) was conducted to compare upper extremity functions before and after the therapeutic intervention, and the Modified Barthel Index (MBI) was used to compare the ability to perform daily living activities. Results: Significant improvements in upper extremity motor functions and the ability to perform daily living activities were shown after the intervention. The subjects' left upper extremity motor functions and ability to perform daily living activities showed significant improvement after the intervention. Conclusion: The study's results indicate that action observation physical training based on the mirror neuron system improves chronic stroke patients' upper extremity motor functions and their ability to perform daily living activities. Therefore, action observation training has positive effects on the functional recovery of chronic stroke patients.

키워드

참고문헌

  1. Kim MY. A study of manual functional test for CVA. Korean Society Occupational Therapy. 1994;2(1):19-26.
  2. Kim JM, Yang BI, Lee MK. The effect of action observational physical training on manual dexterity in stroke patients. Korean Research Society of Physical Therapy. 2010;17(2):17-24.
  3. Jung HY, Park BK, Shin HS, et al. Development of the korean version of modified barthel Index (K-MBI): multicenter study for subjects with stroke. The Journal of Korean academy of rehabilitation medicine. 2007;31(3):283-297.
  4. Chai KJ, Lee HS. Assessment of upper extremity function in normal korean adults by manual function test. Korean Society of Occupational Therapy. 1997; 5(1):52-57.
  5. Adamson J, Beswick A, Ebrahim S. Is stroke the most common cause of disability?. Journal of Stroke and Cerebrovascular Disease. 2004;13(4):171-177. https://doi.org/10.1016/j.jstrokecerebrovasdis.2004.06.003
  6. Bellelli G, Buccino G, Bernardini B, et al. Action observation treatment improves recovery of postsurgical orthopedic patients: evidence for a Top-Down effect? Archives of Physical Medicine and Rehabilitation. 2010;91(10):1489-1494. https://doi.org/10.1016/j.apmr.2010.07.013
  7. Ewan LM, Kinmond K, Holmes PS. An observation-based intervention for stroke rehabilitation: experiences of eight individuals affected by stroke. Disability and Rehabilitation. 2010;32(25):2097-2106. https://doi.org/10.3109/09638288.2010.481345
  8. Gallese V, Fadiga L, Fogassi L, et al. Action recognition in the premotor cortex. Brain. 1996;119(2):593-609. https://doi.org/10.1093/brain/119.2.593
  9. Jeannerod M. Neural simulation of action: a unifying mechanism for motor cognition. Neuroimage. 2001;14(1):103-109. https://doi.org/10.1006/nimg.2001.0832
  10. Oberman LM, Hubbard EM, McCleery JP, et al. EEG evidence for mirror neuron dysfunction in autism spectrum disorders. Cognitive Brain Research. 2005;24(2):190-198. https://doi.org/10.1016/j.cogbrainres.2005.01.014
  11. Pelosin E, Avanzino L, Bove M, et al. Action observation improves freezing of gait in patients with parkinson's disease. Neurorehabilitation and Neural Repair. 2010;24(8):746-752. https://doi.org/10.1177/1545968310368685
  12. Rizzolatti G, Fadiga L, Gallese V, et al. Premotor cortex and the recognition of motor actions. Cognitive brain research. 1996;3(2):131-141. https://doi.org/10.1016/0926-6410(95)00038-0
  13. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical Practice. Philadelphia. Lippincott Williams & Wilkins. 2007.
  14. Trombly CA, Ma H. A synthesis of the effects of occupational therapy for persons with stroke, Part I: restoration of roles, tasks, and activities. The American Journal of Occupational Therapy. 2002;56(3):250-259. https://doi.org/10.5014/ajot.56.3.250